How to change parent polyclinic in echs 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'Polyclinic File ref' and 'Date' fields at the top of the form.
3. In the 'To' section, enter the name and address of the old parent polyclinic where indicated.
4. Provide your ECHS Card Number, Name of ECHS beneficiary, Relationship with ECHS Member, and Rank in their respective fields.
5. Fill in the names of both the Old Parent Polyclinic and New Parent Polyclinic accurately.
6. Specify the Date of change of parent Polyclinic and Duration from start date to end date.
7. Complete the declaration by signing as the Card Holder and entering the date.
8. Leave space for remarks from OIC Polyclinic, which will be filled out later.

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